Individual
KENZYA AWOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8860 PINEY BRANCH RD, SILVER SPRING, MD 20903-3547
(240) 715-2640
Mailing address
8860 PINEY BRANCH RD, SILVER SPRING, MD 20903-3547
(240) 715-2640
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
05/08/2018
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